Esi Covering Letter

POULOMI
DR.A.S.RAO NAGAR ECIL MAIN ROAD

IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
275
P.BAL
RAJ
P.BAL RAJ
SELF
P.BAL RAJ
40027
2502
10/12/2013
POULOMI
IP_Nam
IP_No
e
D,BALA
MANI
IP_Nam
IP_No
e
353
Dependent_Name
Relation_With_IP
Patient_Name
D,BALAKRISHNA
MOTHER
D,BALAMANI
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
41311
Case_Reg_N
o
Ref_No
Ref_Date
2639
23/12/13
Ref_No
Ref_Date
368
C,ESWA
RAIAH
CH,ADILAXMI
HUSBAND
C,ESWARAIAH
41502
2661
24/12/13
POULOMI
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
S.VENK
ATADRI
BHASKAR CHARY
FATHAR
454
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
S.VENKAT ADRI
42185
2825
7/1/2014
POULOMI HOSPITALS
DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECU
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
470
D,DIAM
OND
SELF
SELF
D.DIAMOND
12094
2872
10/1/2014
POULOMI HOSPITALS
DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECUNDE
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
490
M.AME
ERUDDI
N
M.RAHEEMUDDIN
FATHER
M.AMEERUDDIN
42443
2917
14/01/2014
POULOMI HOSPITALS
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
533
Y.RAMU
LAMMA
Y.RAMULAMMA
SELF
Y.RAMULAMMA
43286
3037
24/01/2014
POULOMI HOSPITALS
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
583
V.BIKSH
APATHY
V.NARESH
FATHER
V.BIKSHAPATHY
43621
3078
28/01/2014
POULOMI HOSPITALS
IP_Nam
IP_No
e
532
D.SRIK
ANTH
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
D.SRIKANTH
SELF
D.SRIKANTH
43275
Ref_No
Ref_Date
2950
18/01/2014
POULOMI HOSPITALS
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
568
P.BALAI
AH
SATYANAND
FATHER
P.BALAIAH
2572
3039
24/01/2014
POULOMI HOSPITALS
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
582
D.RAN
GA
REDDY
D.RANGA REDDY
SELF
D.RANGA REDDY
Case_Reg_N
o
Ref_No
Ref_Date
1668
27/01/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
644
D.NARA
SIMHA
CHARY
D.SATYANARAYANA
FATHER
D.NARASIMHA
CHARY
3194
5/2/2014
POULOMI HOSPITAL
IP_Nam
IP_No
e
668
SRINIV
AS
Dependent_Name
Relation_With_IP
Patient_Name
P.LAKSHMI
HUSBAND
SRINIVAS
Case_Reg_N
o
Ref_No
Ref_Date
3265
11/2/2014
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
692
MANGA
REDDY
SUJATHA
HUSBAND
MANGA REDDY
3327
17/02/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
708
B.ANJAI
AH
B.NIRMALA
HUSBAND
B.ANJAIAH
Case_Reg_N
o
Ref_No
Ref_Date
3348
18/02/2014
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
656
KRISHN
A
G,RAMU
FATHER
KRISHNA
44277
3221
7/2/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
882
H.SURE
SH
H.SURESH
SELF
H.SURESH
14498
3708
19/03/2014
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
799
KOMAR
AIAH
SAYAMMA
HUSBAND
KOMARAIAH
3535
5/3/2014

IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
759
P.AZEE
M
P.DHARIA KHAN
SON
P.AZEEM
Case_Reg_N
o
Ref_No
Ref_Date
3446
25/02/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
917
J.NARS
AMMA
J.NAVEEN
MOTHER
J.NARSAMMA
Case_Reg_N
o
Ref_No
Ref_Date
3730
20/03/2014
POULOMI HOSPITAL
IP_Nam
IP_No
e
941
B,SUDH
AKAR
VARMA
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
B,PAVAN KUMAR
FATHER
B,SUDHAKAR VARMA
14840
Ref_No
Ref_Date
3785
25/03/14
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
1117
G.DHA
RMA
RAJU
G.JYOTHI
FATHER
G.DHARMA RAJU
448
198
17/04/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
D.BUC
HANNA
1242 GOUD
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
D.MOHAN GOUD
FATHER
D.BUCHANNA GOUD
49
455
7/5/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
G.NARA
1399 SAMMA
G.YADAGIRI
WIFE
G.NARASAMMA
3406
723
29/05/2014
POULOMI HOSPITAL
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
SWAMY
NATH
1471
PAL
SWAMYNATH PAL
SELF
SWAMYNATH PAL
627
929
14/06/2014
IP_No
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
K.VENK
1501 ATADRI
K.VENKATADRI
SELF
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
K.VENKATADRI
29/9
900
12/6/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
M.NAR
1573 SAMMA
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
M.KRISHNA
MOTHER
M.NARSAMMA
MEDICAL
1010
21/06/2014
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
1477
B.GAN
GAIAH
B.SATYANARAYANA
FATHER
B.GANGAIAH
MEDICAL
902
12/6/2014
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
2743
M.VENK
ATESH
M.VENKATESH
SELF
M.VENKATESH
MEDICAL
3638
20/01/15
POULOMI HOSPITAL
OP NO NAME
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
G.MUR
ALIDHA
16902
R
G.MURALIDHAR
SELF
G.MURALIDHAR
MEDICAL
Ref_No
Ref_Date
4912
4/3/2015
POULOMI HOSPITAL
OP NO NAME
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
G.MUR
ALIDHA
16902
R
G.MURALIDHAR
SELF
G.MURALIDHAR
MEDICAL
4912
4/3/2015
POULOMI HOSPITAL
IP_Nam
IP_No
e
3140
G.AIAH
NNA
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
G.RUBIKAMMA
HUSBAND
G.AIAHANNA
MEDICAL
Ref_No
Ref_Date
20/03/15
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
4038
S.SUSH
EELA
S.SHAKER
MOTHER
S.SUSHEELA
MEDICAL
1287
26-07-2015
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
UGHEN
DER
4180 REDDY
V.NEETA
HUSBAND
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
UGHENDER REDDY
MEDICAL
1433
11/8/2015
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
B.NARA
SIMHA
4180 REDDY B.NARASIMHA REDDY
SELF
B.NARASIMHA REDDY
MEDICAL
1289
25-07-2015
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
RAJESH
4179 KUMAR
RAJESH KUMAR
SELF
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
RAJESH KUMAR
MEDICAL
1430
11/8/2015
POULOMI HOSPITAL
IP_No
IP_Nam
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
4321
M.LAX
MAN
RAO
M.LAXMAN RAO
SELF
M.LAXMAN RAO
MEDICAL
2301
6/8/2015
POULOMI HOSPITAL
IP_Nam
IP_No
e
Dependent_Name
Relation_With_IP
Patient_Name
Case_Reg_N
o
Ref_No
Ref_Date
4454
G.SAIL
U
G.SAILU
HUSBAND
G.SAILU
MEDICAL
1811
14-09-2015
POULOMI HOSPITAL
IP_Nam
IP_No
e
4427 3846
4554
3937
4350
2334
2446
2347
2429
2346
4081
2350
2389
4119
Dependent_Name
M G KURUP
K.SAKKUBAI
B R PANTULU
T.CHANDRA SHEKAR
S.PRASAD NAIK
KRISHNA MURTHY
VISALAKSHMI
VIJAYA LAKSHMI
P. ANATHAMMA
MG DEENATHAYALAN
SHRA FUNNISA
P.SARALADEVI
RAMA MURTHY
Relation_With_IP
Patient_Name
Case_Reg_N
UTI
o
NUMBER
SELF
MG KURUP
MEDICAL
236738
SELF
SELF
SELF
SON
SELF
MOTHER IN LAW
SELF
MOTHER
SELF
DOUGHTER
WIFE
SELF
K.SAKKUBAI
B R PANTULU
T.CHANDRA SHEKAR
S.PRASAD NAIK
KRISHNA MURTHY
VISALAKSHMI
VIJAYA LAKSHMI
P. ANATHAMMA
MG DEENATHAYALAN
SHRA FUNNISA
P.SARALADEVI
RAMA MURTHY
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
3236819
3211065
3211120
2359956
2404568
2363524
2396753
2363530
3236419
2365270
2380073
3236738
Ref_Date
30-09-2015
POULOMI HOSPITALS
RTA,HEA
L MAIN ROAD,SECUNDERABAD-062.
INJURY CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya

Diagnosi
FACIAL
s_Type
Rate
Bill_No
Date
nt
ble
LACERATI
ON OVER
FACE,LIP
LACERATI
SURGICAL
ON
YES
4230
6/12/2013
38702
Treatment_T
ype
POULOMI HOSPITALS
Treatment_T Diagnosi CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya
ype
s_Type
Rate
Bill_No
Date
nt
ble
CKD,LRTI
-ANEMIAB/L,PLEU
RAL
EFFUSIO
NMEDICAL SEIZURE
MANAGEME S-HTNNT
T2DM
YES
5946
19/12/13
55961/Treatment_T Diagnosi CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya
ype
s_Type
Rate
Bill_No
Date
nt
ble
PULMON
ARY
TUBERCU
LOSISMEDICAL
LRTIMANAGEME HYPONAT
NT
REMIA
YES
6304
22/12/13
48769/-
POULOMI HOSPITALS
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CVA
RIGHT
HEMIPRE
GIA WITH
ACCERAT
ED
HYPERTE
NTION T2
DM HTN
YES
8100
4/1/2014
11034
TALS
ROAD,SECUNDERABAD-062.
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEPSISLRTI
CONGES
TIVE
HEART
FAILURE
SR.MODE
RATE LV
SYSTOLIC
DYSFUNC
TION
YES
8589
8/1/2014
76855/-
ALS
AD,SECUNDERABAD-062.
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CVA
WITH
RIGHT
HEMIPAR
ESIS
LEFT LEG
CELULITI
S DM
CAD.
YES
8935
10/1/2014
25671/-
ALS
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
DIABETIC
NEPHROP
ATHY
CKD
ANASARC
A
METABOL
IC
ACIDOSIS
YES
9851
17/01/2014
37949/-
ALS
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
RTA WITH
HEAD
INJURY
SAH
YES
10934
24/01/2014
27131/-
ALS
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CIRROHO
SIS OF
LIVER
PORTAL
HTN
ANEMIA
YES
9850
17/01/2014
40251/-
ALS
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
PANCYTO
PENIA ?
IMMUNE
MEDICAT
E LRTI
YES
10582
22/01/2014
64,815/-
ALS
ype
s_Type
Rate
Bill_No
Date
nt
ble
ACS:EVO
LVED
EXTENCI
VE
ANTERIO
R WALL
SURGICAL
MI
YES
10912
24/01/2014
1,16,562
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CVA,IC
BLEED
LEFT
CAPSULO
GANGLIO
NIC
BLEED
YES
12338
3/2/2014
42595
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
ALCOHOL
IC
INTOXICA
TION
ASPIRATE
D
PNEUMO
NIA
YES
13073
9/2/2014
8653
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
PANCYTO
PENIA
WITH
SEVERE
SEPSIS
AND
CELLULIT
IS
YES
13570
12/2/2014
51613
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
RT
CAPSULO
GANGLIO
NIC
BLEED
ACCELER
ATED
HYPERTE
NSION
YES
13782
14/02/2014
54524
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
RTA IC
BLEED,H
TN,DMLRTI,B/L
PNEUMO
NIASEVERE
SEPSIS
WITH DIC
WITH AKI
YES
12661
5/2/2014
2,50,650
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEIZURE
S
DISORDE
R AND
DRUG
INDUCED
RASHES
YES
17558
13/03/14
16347/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CHRONIC
KIDISEAS
E WITH
AKI
MODERA
TE
ANEMIA
YES
16051
2/3/2014
27710
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
RTA
HEAD
INJURY
EAR
BLEED
,HAEMOR
RAGIC
CONTUSI
ONS
PNEUMO
CEPHALU
S
YES
15078
23/02/2014
84160/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CHRONIC
KIDNEY
DISEASE
HYPERTE
NSION
LRTI
YES
18316
18/03/2014
15108
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
AKI ON
CKD, LRTI
SPESIS
HTN, DM
YES
18837
21/03/14
85,589/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
AKI ON
CKD
PLEURAL
EFFUSIO
N CAD
YES
22471
14/04/2014
41147
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEVERE
SEPSIS
CHRONIC
OBSTRUC
TIVE
PULMON
ARY
DISEASE
YES
24915
4/5/2014
169557/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CHRONIC
KINDNEY
DISEASA
IV
ANEMIA
ASCITIES
LV
DYSFUNC
TION
YES
28140
27-05-14
24960
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEVERE
HYPOTEN
SION
SEVERE L
V
DYSFUNC
TION
HYPERPY
RENIA
YES
L
29602
6/6/2014
21984/-

ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
AKI ON
CKD LRTI
HYPERKA
LCEMIA
UROSEPS
IS
YES
30205
10/6/2014
46933
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
AKI ON
CKD
SEVERE
ANEMIA
DM,HTN,
CAD
YES
31723
20/06/2014
27065
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEPSIS
MODS
WITH
CKD
SCROTAL
ULCER
YES
29766
7/6/2014
209456
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
ELECTRIC
AL
BURNS
YES
L
59521
16/01/15
26049
Treatment_T INVESTIG CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya

ype
ATION
Rate
Bill_No
Date
nt
ble
MEDICAL
COLONO
SCOPY
YES
65985
5/3/2015
1700
L
Treatment_T INVESTIG CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya
ype
ATION
Rate
Bill_No
Date
nt
ble
MEDICAL
COLONO
SCOPY
YES
65985
5/3/2015
1700
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEIZURE
DISORDE
R DM
TYPE-II
DIABETIC
KETOACI
DSIS
RENAL
FAILURE
YES
67728
20/03/15
48669
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
RTA WITH
SEVERE
HEAD
INJURY
WITH
YES
85765
26-07-2015
19,311/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CLD
WITH
HEMETER
MANIA
YES
88417
12/8/2015
45,909/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
SEVER
HEAD
INJUERY
YES
85626
25-07-2015
45,909/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
?
CKD,ACC
HTN
YES
88416
12/8/2015
33,391/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
APD
WITH
AVEMIA
YES
87891
8/8/2015
1,553/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
ACUTE
ON CKD
YES
94058
14-09-2015
42,640/-
L
ype
s_Type
Rate
Bill_No
Date
nt
ble
MEDICAL
CVA(Rr)
HEMOPA
RISIS
YES
96987
1/10/2015
40,008/-
POULOMI HOSPITALS
DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECUNDERABA
S.NO
IP_No
IP_Name
Dependent_
Name
Relation_
With_IP
Patient
Name
Case_Reg
_No
Ref_No
291/16 M.VENU
NO
SELF
M.VENU
4002
1329
Ref_Date
Treatment
Type
Diagnosis
Type
ACC+HTN MEDICAL
WITH ACUTE MANAGEM
14/05/16
CVA
ENT
S
SECUNDERABAD-062.
CGHS
Rate
YES
Hospital Hospital_
Bill
Amount_
Bill_No
Bill_Date Amount Payable
DR00195 15/5/16
30825
POUL
DR.A.S.RAO NAGAR E
S.NO
IP_No
IP_Name
0292/16
P.MAHENDAR
Dependen Relation_
t_Name
With_IP
Patient Name
NO
SELF
P.MAHENDAR
POULOMI HOSPITALS
RAO NAGAR ECIL MAIN ROAD,SECUNDERABAD-062.
Case_Reg
_No
4006
Ref_No
1338
Treatment Diagnosis
Type
Type
CGHS
Rate
Hospital
Bill_No
Hospital_
Bill_Date
RTA WITH
HEAD
INJURY MEDICAL
WITH H/O MANAGE
14/05/16
LOC
MENT
YES
DR00138
17/05/20
16
Ref_Date
Bill
Amount
16862
Amount_P
ayable
DR.A.S.RAO NA
S.NO
IP_No
IP_Name
K.RAMUL
0329/16
U
Dependen Relation_
t_Name
With_IP
NO
SELF
Patient
Name
K.RAMUL
U
POULOMI HOSPITALS
DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECUNDERABAD-062.
Case_Reg
_No
7066
Ref_No
1364
Ref_Date
Treatment Diagnosis
Type
Type
RTA
17/05/20 HEAD
16
INJURY
MEDICAL
MANAGE
MENT
CGHS
Rate
YES
Hospital
Bill_No
Hospital_
Bill_Date
20/05/20
DR00164
16
D-062.
Bill
Amount
11613
Amount_P
ayable
POULOMI HOSPITALS
DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECUN
S.NO
IP_No
IP_Name
Depende
nt_Name
Relation_
With_IP
Patient Name
Case_Reg
_No
Ref_No
0301/16
V.SOMULU
YES
FATHER
K.RAMULU
4073
1364 17/05/2016
0251/16
B PANDU
NO
SELF
B PANDU
8014
1274
8/5/2016
0253/16
D SHIVA
SHANKAR
SELF
D SHIVA
SHANKAR
9026
1280
9/5/2016
3040
1323
13/5/2016
Ref_Date
NO
S
MOTHER NARSAMMA
0290/16 S NARSAMMA
YES
0293/16
G SRINIVAS
NO
SELF
G SRINIVAS
4012
1331
14/5/2016
0242/16
A GANESH
YES
FATHER
A GANESH
7036
1264
7/5/2016
YES
B
MOTHER POOLAMMA
7039
1267
7/5/2016
0244/16 B POOLAMMA
0238/16 P NARSIMHA
NO
SELF
P
NARSIMHA
7001
1257
6/5/2016
0317/16
B NARSAIAH
YES
FATHER
B
NARSAIAH
6055
1358
16/5/2016
0260/16
VAMSI
KRISHNA
YES
SON
VAMSI
KRISHNA
9054
1289
9/5/2016
0283/16
P JANGAIAH
YES
2041
1308
12/5/2016
0329/16
K.RAMULU
NO
SELF
K.RAMULU
7066
1364 17/05/2016
NO
SELF
P.MAHENDA
R
4006
1338
14/05/16
NO
SELF
M.VENU
4002
1329
14/05/16
SELF
M
NARENDER
7044
1272
8/5/2016
10
11
FATHER P JANGAIAH
12
13
0292/16 P.MAHENDAR
14
291/16
M.VENU
15
0246/16 M NARENDER
NO
16
0207/16
RAJESHWARI
NO
SELF
RAJESHWAR
I
3009
1231
3/5/2016
HOSPITALS
IN ROAD,SECUNDERABAD-062.
Treatment
Type
RTA
HEAD
INJURY
Diagnosis
Type
CGHS
Rate
Hospital
Bill_No
Hospital_Bill_Da
te
MEDICAL
MANAGEM
ENT
YES DR00164 20/05/2016
Bill
Amount
11613
RTA
MEDICAL
POLYTRA MANAGEM
MA
ENT
YES DR00165
10/5/2016
13062
RTA
MEDICAL
HEAD MANAGEM
INJURY
ENT
YES DR00121
13/5/2016
18099
K/C/O
MEDICAL
PARKINS MANAGEM
ONS
ENT
YES DR00175
19/5/2016
32241
MEDICAL
HEAD MANAGEM
INJURY
ENT
YES DR00179
17/5/2016
17393
AC CVA MEDICAL
HEMIPAR MANAGEM
ESIS
ENT
YES DR00117
12/5/2016
28797
AC CVA MEDICAL
HEMIPAR MANAGEM
ESIS
ENT
YES DR00178
11/5/2016
26129
Amount_Paya
ble
RTA
MEDICAL
HEALTH MANAGEM
INJURY
ENT
YES DR00118
11/5/2016
22510
ACUTE
STOKE MEDICAL
LT HEMI MANAGEM
PARESIS
ENT
YES DR00179
20/5/2016
28471
MEDICAL
HEAD MANAGEM
INJURY
ENT
YES DR00162
11/5/2016
8203
RTA
MEDICAL
HEAD MANAGEM
INJURY
ENT
YES DR00177
18/5/2016
31737
RTA
MEDICAL
HEAD MANAGEM
RTA
INJURY
ENT
YES DR00164 20/05/2016
WITH
HEAD
INJURY MEDICAL
WITH MANAGEM
H/O LOC
ENT
YES DR00138 17/05/2016
11613
16862
MEDICAL
ACUTE MANAGEM
CVA
ENT
YES DR00195
15/5/16
30825
RTA
MEDICAL
HEAD MANAGEM
INJURY
ENT
YES DR00167
12/5/2016
19484
RTA
MEDICAL
HEAD MANAGEM
INJURY
ENT
YES DR00066
TOTAL :
6/5/2016
15730
332769
DR.A.S.RAO NA
1
S.NO
Dependen Relation_
t_Name
With_IP
IP_No
IP_Name
0301/16
V.SOMULU
YES
FATHER
0251/16
B PANDU
NO
SELF
0253/16
D SHIVA
SHANKAR
NO
SELF
S
0290/16 NARSAMMA
YES
MOTHER
0293/16 G SRINIVAS
NO
SELF
0242/16
YES
FATHER
B
0244/16 POOLAMMA
YES
MOTHER
0238/16 P NARSIMHA
NO
SELF
0317/16 B NARSAIAH
YES
FATHER
YES
SON
0283/16 P JANGAIAH
YES
FATHER
0329/16
NO
SELF
A GANESH
10
0260/16
VAMSI
KRISHNA
11
12
K.RAMULU
13
0292/16 P.MAHENDAR
NO
SELF
NO
SELF
M
0246/16 NARENDER
NO
SELF
0207/16 RAJESHWARI
NO
SELF
14
291/16
15
M.VENU
16
POULOMI HOSPITALS
DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECUNDERABAD-062.
Patient Name
K.RAMULU
B PANDU
D SHIVA
SHANKAR
S
NARSAMMA
G SRINIVAS
A GANESH
B
POOLAMMA
P
NARSIMHA
B NARSAIAH
VAMSI
KRISHNA
P JANGAIAH
K.RAMULU
Case_Reg
_No
4073
8014
9026
3040
4012
7036
7039
7001
6055
9054
2041
7066
Ref_No
Ref_Date
Treatment Diagnosis
Type
Type
MEDICAL
MANAGE
MENT
YES
8/5/2016
RTA
MEDICAL
POLYTR MANAGE
AMA
MENT
YES
9/5/2016
RTA
MEDICAL
HEAD MANAGE
INJURY
MENT
YES
13/5/2016
K/C/O MEDICAL
PARKIN MANAGE
SONS
MENT
YES
14/5/2016
MEDICAL
HEAD MANAGE
INJURY
MENT
YES
7/5/2016
AC CVA MEDICAL
HEMIPA MANAGE
RESIS
MENT
YES
7/5/2016
AC CVA MEDICAL
HEMIPA MANAGE
RESIS
MENT
YES
6/5/2016
RTA
MEDICAL
HEALTH MANAGE
INJURY
MENT
YES
1358
ACUTE
STOKE MEDICAL
LT HEMI MANAGE
16/5/2016 PARESIS MENT
YES
1289
9/5/2016
MEDICAL
HEAD MANAGE
INJURY
MENT
YES
12/5/2016
RTA
MEDICAL
HEAD MANAGE
INJURY
MENT
YES
1364
1274
1280
1323
1331
1264
1267
1257
1308
1364
RTA
HEAD
17/05/2016 INJURY
CGHS
Rate
RTA
HEAD
17/05/2016 INJURY
MEDICAL
MANAGE
MENT
YES
P.MAHENDA
R
M.VENU
M
NARENDER
RAJESHWAR
I
4006
4002
7044
3009
1338
1329
1272
1231
14/05/16
RTA
WITH
HEAD
INJURY MEDICAL
WITH MANAGE
H/O LOC MENT
YES
14/05/16
MEDICAL
ACUTE MANAGE
CVA
MENT
YES
8/5/2016
RTA
MEDICAL
HEAD MANAGE
INJURY
MENT
YES
3/5/2016
RTA
MEDICAL
HEAD MANAGE
INJURY
MENT
YES
BAD-062.
Hospital Hospital_Bill_
Bill
Bill_No
Date
Amount
DR0016 20/05/201
4
6
11613
DR0016
5
10/5/2016
13062
DR0012
1
13/5/2016
18099
DR0017
5
19/5/2016
32241
DR0017
9
17/5/2016
17393
DR0011
7
12/5/2016
28797
DR0017
8
11/5/2016
26129
DR0011
8
11/5/2016
22510
DR0017
9
20/5/2016
28471
DR0016
2
11/5/2016
8203
DR0017
7
18/5/2016
31737
DR0016 20/05/201
4
6
11613
Amount_P
ayable
332769
DR0013 17/05/201
8
6
16862
DR0019
5
30825
15/5/16
DR0016
7
12/5/2016
19484
DR0006
6
15730
6/5/2016

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POULOMI

DR.A.S.RAO NAGAR ECIL MAIN ROAD

DR.A.S.RAO NAGAR ECIL MAIN ROAD,SECUNDE

INJURY CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya

Treatment_T Diagnosi CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya

Treatment_T INVESTIG CGHS_ Hospital_ Hospital_Bill_ Bill_Amou Amount_Paya

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